NPIMap

Organization Active NPI

Physical Therapy Associates

  • Multi-Specialty Clinic/Center
  • Spokane, WA
National Provider Identifier
1225372915
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
19320000X Issued in WA
Legal business name
PHYSICAL THERAPY ASSOCIATES
Practice address
3020 S Grand Blvd
Spokane, WA 99203-2560
Phone
(509) 456-6917
NPI assigned
Nov 19, 2012
Last updated
Nov 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly RisseNPI 1629118401
Title
Owner/Physical Therapist
Phone
(509) 456-6917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 19320000X WA Primary
Physical Therapy Clinic/Center 261QP2000X 208100000X WA

Addresses

Primary practice location

3020 S Grand Blvd
Spokane, WA 99203-2560

Mailing address

3020 S Grand Blvd
Spokane, WA 99203-2560
Phone (509) 456-6917

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3020 S Grand Blvd
Spokane, WA 99203
Phone (509) 456-6717

3020 S Grand Blvd
#8996
Spokane, WA 99203

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1225372915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032560",
            "telephone_number": "509-456-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032560",
            "telephone_number": "509-456-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "RISSE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "509-456-6917"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "19320000X",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "208100000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.